American Samoa Boat-Based Survey Boat Log

Economic Surveys Of American Samoa (ESAS), Guam, and the Commonwealth Of The Northern Mariana Islands (CNMI) Small Boat-Based Fisheries

IC form for American Samoa Small Boa-Based Fishery051820

Economic Data Questions added to Offshore Creel Census Form

OMB: 0648-0635

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Opportunistic.
Interview not completed.
Date: _________________
Type Day: (1)WD (2)WE/H

Page (____/____)
Department of Marine and Wildlife Resources
Boat-based Survey Boat Log (Participation)

Interview Time: _______ Interview #: ______ Charter (Y/N): _____ Port: ______________________
Boat/Name:__________________________ Reg. Number:____________________ # of Fishers: _________
CATCH EFFORT DATA FOR ONE FISHING METHOD:
Method (circle one):
Trip Begin Date/Time: _________@ ____
(2) - Troll
Number of Gears:_________
(4) - Bottom
Hours Fished:_______
(5) - Troll/Bottom
Days Fished:_________
(6) - Spear (Free Dive)
Total Trip Pounds: _____________
(8) -Atule-mix
Area Fished: ____________
(16) - Longline
Home Island: Tutuila / Manu`a / Aunu`u
(62) - Other: _________________
Landed Condition code: W: Whole fish, 1:GG, 2: HG, 3:GHT, 4:Gutted, 5: Headed, 6: Sharbite

Species Name

Length
(Cm)

Species
weight
(Pounds)

Number

Pieces

For Longlining:
# Set:
# Hours per set:
# Hooks per set:
Trip Cost Information
Gal.
Gallons of fuel used
$
Price per gallon
Cost of ice used
$
free
Cost of bait & chum used $
Cost of fishing gear lost $
Engine type 2s / 4s / Diesel

Landed

Condition

Disposition

$ / Lb

Comments

BY-CATCH (Fish that released or discarded): YES / NO (write LIVE or DEAD/INJURED in Disposition)

Paperwork Reduction Act Statement. A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a
penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection
has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0648-0635. Without this approval, we could not
conduct this survey. Public reporting for this information collection is estimated to be approximately 10 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses
to this information collection are voluntary. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions
for reducing this burden to the NOAA Fisheries at: 1845 Wasp Blvd., Building 176, Honolulu, HI 96818, Attn: Minling Pan, and Minling.Pan@noaa.gov if desired.
Expires 8/31/2020.

Captain’s/Crew’s Signature:
_______________________


File Typeapplication/pdf
File TitleBOAT-BASED SURVEY INTERVIEW FORM
AuthorDMWR-WPacFIN
File Modified2020-05-18
File Created2020-05-18

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